NPI | 1508977281 |
---|---|
Doing Business As | GALLERIA DENTISTRY |
Former Legal Business Name | GALLERIA DENTISTRY LC |
Entity Type | Organization |
Authorized Contact | CHELSEA ANN YANDA BENZA Owner/Dentist 239-592-5112 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN9062) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-03-22 |